06-101059 City of Federal Way FILEieuinica1
Permit #• 06-101059-00-ME
•
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax(253)835-2609 S Inspection Request Line: (253)835-3050
Project Name: BELZ
Project Address: 28723 14TH AVE S Parcel Number: 720300 0635
Project Description: Remove/Replace Gas Water Heater
Owner Applicant Contractor
JACOB C BELZ JR. FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
STACY A BELZ JR. 12601 132ND AVE NE FASTWWH948BC 1/3/2008
28723 14TH AVE S KIRKLAND WA 98034 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034
98003-3158
Additional Permit Information
Mechanical Valuation 1016 Over the Counter Permit? Yes
Plumbing Fixtures
Water Heaters 1
CONDITIONS:
PERMIT EXPIRES Saturday, September 2, 2006
Permit Issued on Monday, March 6, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: 1-\ Date:Date:
47151‘,
y
THIS CARD IS TO REMAIN ON-SITE •
-CITY OF - -.0— • Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-101059-00-ME
Owner: JACOB C BELZ JR.
Address: 28723 14TH AVE S
FEDERAL WAY, WA 98003-3158
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. -
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑ Mechanical
•
Rough-in (4165) •❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By / Date /6/.2�,�
REC
CK1186EDD• COMMUNITY DEVELOPMENT DEPARTMENT 0 ( � C:5 CC
CITY q�a RECEIVED
FederalWay PER MI' — _
COMMUNf7YDEVELOPMENT SERVICE.S MAR 0 1 2006 AR 0 6 2006 SF MF Co'VIE L PL DE EN FP
33325 47N AVENUE SOUTH•PO BOX 9718 A p p L I C A .d,
FEDERAL WAY,WA 94063-9714 Q4TD /
www.ci
25307•FAX 253.435-2609 DER
AL WAY /
www.dlvo(fcr7tmhun u.rom
BUILDING DEPT.
The following is required information—an incomplete application will not be accepted. Please •rint legibly in ink)or type.
<-.:. _.c.S-,..••. -4:.,.,- .- :- PROPERTY INFORMATION • . :. ',- - . • - • .
• SITE ADDRESS 28723 14 AVE S,FEDERAL WAY,WA 98003
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7203000635 - LOT SIZE(sfl
•
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
/Attach separate pagefor lengthy legal deaaiptloni
,«_. ,:,, - r:"al -PROJECT INFORMATION _. .
TYPE OF PERMIT 0 BUILDING 0 PLUMBING K MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit orilU)
Remove/Renlace Gas Water Heater
PROJECT NAME(Name of Business or Owner Last Name) BELL JAY
•,. ,,_,. ,. :.,, .N PEOPLE INFORMATION •
PROPERTY NAME
PRIMARY PHONE
OWNER BELL JAY ((2531839-4912
MAILING ADDRESS CITY,STATE,ZIP
2872314 AVE S FEDERAL WAY, WA 98003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
FAST WATER HEATER COMPANY ((425814-3124
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
12601 132ND AVE NE KIRKLAND.WA 98034 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
•
- 2.-_0 -.9-- 4 4 7 0 0 -B L . / / (425 )814-95"16
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) - EXPIRATION DATE
•FASTWWH248B(L /01/03/2008
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( .)
LENDER 3N,,00 sir;:. �1o; i<; :; NAME
:' 0 ' r Wo..10 +Y_ -I fly,3,q, ;•y
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
�", \Ifs:,'--1,:-,,:•r, f, _ :^Sh "
i :; rr„i ,:. .,i''j{4),;=>:.—„a :';h .:%,)'•,"'� � DETAILEIl B •:r.. ,. ,,,,,Vj - ..r;,,.
i . « :I»:: . _ . UILDING'INFOR4TATI � .; ��` ,�, ,t��.,�
_..,. ON',,. ��}`�I;�,:: S•;r :�Ft�., .ia%i-%�`'I�,i:� en`�-.
- - -. __. .... .�y"._..,.tl,�i 7j'i{;....:�f?•i._:3:'v c:.ca a tl ?,.�,a;
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ /12//P
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO •
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE o PRIVATE(SEPTIC)
PROJECT FLOOR AREAS`. -
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
•
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0 �~
NUMBER OF FLOORS sussme FROMM TOTAL t•�.r:11;f:: i+t,Ft' ?t{�r;rte,7'•h'.,t:•T4_., „ i•w4 ',1<r,.`.:'
"NEW HOMES ONLY"" NUMBER OF BEDROOMS - ESTIMATED SELLING PRICE $
Indicate number of each type of facture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
=MAIM-AL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(cemmerei.l) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES •
MISC(Describe)
COMPRESSORS FURNACES X GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS for Tub/Show.rCombo) SHOWERS WATER CLOSETS(r.eu MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(S"throom Sink) VACUUM BREAKERS ELECTRIC WATER HEATERS
•
:.,._.. - '.... • DISCLAIMER/SIGNAhUREBL el ?.:. ,t;• ,•.r. , s;: �- . •44,.
:
I certify under penalty of perjury that the information furnished by me is true and correct to the best of may knowledge,and further,that I
am authorised by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
•
NAME/TITLE '_N .. ••••"" ` ' r' +'� a Permit Mgr DATE 2/28/06
(Signature( (Title(
RELATIONSHIP TO PROJECT 0 Owner ❑Agent , ► Contractor n Architect ❑ Other •
,�J. '�- .,i.••'i' _�,_ 1i�r
1 s+± 32� ?... chit :� 6 ' vr• o ill. ga it, l,.
'•;t� 'o�'tt • ;'�.1�1r uiitF!(�t; inll���iF�l,_,\��L��; 9 4Y�L•i_+..�,lyV. �;-;, - "�,a.ti.`7� ���r_�1�-�`l.�l ti 'f�i�.a:i'.,1`�',4;
.71111((;4i.
I - .: .
II'� '!. X11.1'
1 1. 11(r1'fF)bl
61-k-0;/': L`, .. l;'d I, f,_<•.,_ _,!
•
•1
1.� '�l•iT ,t,}
''D`
.,t
4-09--;:q?
i..i. 5%/. 'p • .t,, c3".u•d� �i _?� �.. ..Fe, n'I , ) ,C�. .��{
I 5' ': Via. � _
..`t'' i . •hD 00 :10•U�? r ''•5.,la - �r��_��/!.^�..�'� ':t��, �S.
v�� ,. Iln�rilla�.�; ,,��,�4._-� 'i �c��•a._(-. �£+R _ �'i�' �'1,,.� :1 � �S,,i,..,.,a. �E.. _
'Y�
wr t"� a .; i 'o 0 0=� t"i�- o'1 =":6jo ,,: 1 i.1, 9 1 4i;
,�G��=. 4 � {anY1 , ..'c:,.... E;:�.r4�,?';,. r= f,,7�;�. �11,�.r;:i�,��1(,��? i ��>4�,a�. }f' _, •.�.-....L.- �w,..,_..,��t�-..,.:"E
'.�.�•�'��•1`+4�"!i9-_r�.:t:5rt..i)1"�',.'.i�..i�:_•:., iS`u r......�'.-r:r....«...,,.._. ;JL.'..x:. �^n ry r cn r.;:..� lr. u7 ,.Jl:a.i.l,e,'=' �,i..